The St John Ambulance Gazette (August 1944)

Page 1


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VOL. 17. No.8. AUGUST, 1944

CONTENTS:

EDITORIAL

PROMOTIONS IN, AND ADMISSIONS TO, THE ORDER

THE ST. JOHN AMBULANCE BRIGADE OVERSEAS

HOME NURSING AND CHILD WELFARE EXAMINATIONS

THE NEW HOME NURSING TEXTBOOK - A PRELIMINARY COURSE OF CHILD WELFARE

NEWS

RAILWAY AMBULANCE NEWS

THE ST. JOHN AMBULANCE BRIGADE AT-HOME

PRIORY FOR WALES ..

SECRETARY OF THE ORDER

INTERESTING CASE REPORTS

QUESTIONS AND ANSWERS

EDITORIAL OFFICES I ST. JOHN'S GATE, LONDON, E.C.l (All reports, etc., should reach the Editor not later than the 28th of the month.)

PUBLISHING OFFICES: 46-.7, CHANCERY LANE, LONDON, W.C.2

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VOL. 17. No.8. AUGUST, 1944

HEN working under war-time conditions, either in a military hospital or among the civil population, every nurse knows that, far more than at normal times, the majority of patients admitted are acutely ill and in a of high nervous tension.

These abnormal conditions greatly emphasi?e the need for some easily assimilated form of restorative nourishment. For this purpose, the nurse will find , Ovaltine' of outstanding value, either as an emergency measure or a regular routine. 'Ovaltine' is completely and easily assimilated, even when the patient is in a very low state of vitality.

, Ovaltine ' possesses many. advantages. It is rich in strengthening, 'energy-giving nourishment; it allays nervous tension and promotes sound, restorative sleep. 'Ovaltine' is highly concentrated, and is prepared by exclusive scientific processes. It contains valuable mineral salts, "first-class" protein, carbohydrate and fat in carefully adjusted ratio.

Now, as in 1914-1918, ' Ovaltine ' is widely used in the war-time hospital service, both -at home and are available to hospitals in speCIal packings and at special prices.

Write for details to :-

A. WANDER, LTD., King's Langley, Herts

PalCE THREEPENCE per Annum, post free

EDITORIAL

One of the important functions of the Order is its hospital service; and the annual report of the Ophthalmic Hospital for 1943 gives details of the excellent work being carried out in Jerupalem under the Warden, Dr.('Norman Manson, who is the Hon. Consulting Ophthalmologist to the Government of Palestine, and his efficient staff.

As in this country, Nursing Staff is difficult to obtain, and domestic servants a probleIp.. However, the British Staff has stood up to the strain in a manner beyond praise.

The number of patients treated shows no decline except in the number of new out-patients. A record number of attendances was experienced durirrg 1943, when the total was 130,113, as compared with 125,490 'of the previous year. In-patients numbered 1,173, new out-patients 19,528, whilst operations numbered 2,964. A record was made for the hospital by the birth of a baby girl to a mother in one of the wards. This unique event, the :first at the Hospital, made a mild sensation among the staff.

Tests were made with Penicillin for the treatment of acute conjunctivitis, but it did not prove altogether satisfactory. If more of the\drug is' available, it is intended to make further trial-s in cases of streptococcal and gonococcal infections.

The Committee, headed by the Hospitaller of the Order, Colonel Woolrych Perowne, pays tribute to the support given by 'the Priory of Southern Africa; also grants received from the Commandary in Canada and from the Commandary in New Zealand.

The Warden in his report gives details of the various cases. Of the new cases, 16,008 were Moslems, 2,750 Christians, and 770 Jews. The number of acute conjunctivitis was lower than 1942, whilst the number complicated by corneal ulceration was halved.

The Linen Guild, under the chairmanship of Robinia, Viscountess Mountgarret, continues its good work. One consignment of goods was 'lost owing to enemy action.

trbt .ranb tlrtor!' in tbt Realm of tbt l}tntrablt erbtr of tbt of "t. Jobn of

His Majesty the King has been graciou,sly pleased to sanction the following Promotions in, and Appointments to, The Venerable Order of the Hospztal of St. john of jerusalem COMMANDERY IN CANADA FOR ADMISSION IN THE GRADE OF

R MI ION IN TH E GRADE OF OFFICER (BROTHER ) FO AD SS Major-General Hugh Malcolm Kirkwood Gracey. OFFICER (SISTER) C I I Ar

Amelia Kate, Miss Prentice. 0 one thur Henry Harty, C.I.E., I.M.S. FOR ADMISSION IN THE GRADE OF COMMANDERY OF THE AUSTRALIAN ASSOCIATE OFFICER (BROTHER ) COMMONWEALTH Melarkod Narasimhaier Mahadevan M.B. M R C P

FOR PROMOTION TO THE GRADE OF COMMANDER (BROTHER)

Colonel Herbert Henry Ernest Russell, O B.E., V.D., M.D., F.R.C.P. (from Officer).

FOR PROMOTION TO THE GRADE OF OFFICER (BROTHER)

Michael Patrick Loth (from Serving Brother). FOR ADMISSION IN THE GRADE OF OFFICER (BROTHER)

Sir Hugh Edward Poynter, Bt. FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Thomas Ashley Canning. Tasman Cleaver Andrews.

The Rev. George Cowie (Assistant-Chaplain). Harold George Alderson, M.B.E.

Francis Percy Dudman.

George Symonds Crossley FOR ADMISSION IN THE GRADE OF SERVING SISTER

Eleanor Marie, Mrs. d'Emden.

Sarah, Mrs. Reading.

Mary Elizabeth, Miss Burns.

Gladys Clare, Miss Wallace.

INDIA

FOR ADMISSION IN THE GRADE OF KNIGHT

H.E. Sir Bertrand Jij.IIles Glancy, KC.S.I., KC.I.E., I.C.S., Governor of the Punjab.

H.E. Sir Hugh Dow, KC.S.I., C.I.E., I.C.S., Governor of Sind.

FOR ADMISSION IN THE GRADE OF ASSOCIATE COMMANDER (BROTHER) Gangarama Kaula, C.I.E.

FOR ADMISSION IN THE GRADE OF COMMANDER (SISTER ) Grace, Lady Glancy. Grizel, The Hon. Lady Hope. Ann Maud, Lady Dow.

(Ed.). ' , FOR ADMISSION IN THE GRADE OF Meriall Ida, Mrs. FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Frederick William Saunders, M.B.E.

James Duncan Murdoch, M.B., F.R.C.S., I.M.S.

Alfred Innes Cox, M.R.C.S., L.R.C.P., Rohan F.R.F.P. & S.,

FOR ADMISSION IN THE GRADE OF ASSOCIATE SERVING BROTHER

Chalam, L.R.C.P. -& S.

Karesasp Aedeshir Dadabhai Naoroji. Dr. Perathur Raghavachari Kuppuswami

Dr. Paul Vailyananathan.

Khan Bahadur Dr. Muha=ad Abdul Allam

Lieut.-Colonel Rustam Merwan Kharegat, I.M .S. FOR ADMISSION IN THE GRADE OF SERVING SISTER

Agnes, Mrs. Murphy. Mabel Headwards, F.R.C.S.E.

Marjorie Beatrice, Mrs. Elphinston

Edith Violet, Mrs. Bulloch.

Ethel Alice, Mrs. Watts.

Alexandra Maud, Mrs. Thompson. Kitty Read, Mrs. Johnstone.

Ethel, Mrs. Stott.

FOR ADMISSION IN THE GRADE OF ASSOCIATE SERVING SISTER Fatma, Miss Mohamedali. KENyA FOR ADMISSION IN THE GRADE OF SERVING BROTHER

Aloysius Neville Nyss. FOR ADMISSION IN THE GRADE OF Bihari Lal BROTHER

Jobn JJirtgabe ebetStaS

South A ustralza. Nursing Divisions. When J a an t d h 'iVhen war was declared, the experienced that an . p a en ere t e It .was felt nurses were called upon to help in the bomb d y Pd rtth of mIght be trainin g of other women and airis re uired ,rh e, an e q.uesbon arose as to - by the Red Cross, the V.A. t\ kat. the Nursmg Divisio?-s. should and. the A.R.P. Classes. It was found ere. was alrea?y a DIVISIOn Cl:t adVIsable to split up the existin Cty d RaIlway StatIOn, and the BnDivisions into six Suburban to supplement this with these to be in charge of officers livin' casu It rs ':1 ers to charge of the within the areas to be covered by held a y d A. specIal course was Divisions; they soon became flourishing 0 1 d t .ecldCed t? grant a Civil entities. rgalllsa IOn erbficate to those I members who passed th t· n 1940 more classes were started and th l' e examma IOn 013. new Divisions formed' at the end of 1943 d e of the lectures, and had there were twenty with a mem one. elr SIxty hours' training in a bership of over six hundred nurses and hospital. These members girl cadets. It is worthy of note that in as attendants in some spite of these members being mostly w SI Iary hOspItals, to which cases to the work, the progress and results of p °lu h from the four princitheir efforts was very efficient ad BosPh1 Sa.s, and also help the District an us Isters, whose work is to attend

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in tbeir homes. Hundreds of trained nurses were called up for the Army, leaving the hospitals very poorly staffed, and members gave 7,000 hours of their spare tin1.e in helping in various hospitals, gaining high commendation for their services; they have also attended hundreds of sick neighbours and friends when trained nurses were unobtainable; in several country districts members have tided over many a crisis in hospitals and private homes.

With all this extra work due to the war, the ordinary work of the Nursing Division has not been neglected. Members have still continued to supply the personnel of the Brigade casualty rooms, six' of which are at various points along the foreshore, and are open throughout the summer season. These rooms are fully equipped, having hot and cold water and means for sterilising, The Brigade is also in control of the Adelaide and \Vayville Ovals, and recently emergency First Aid Rooms have been installed 'at two pleasure resorts in the foothills. During 1943 approximately 5,000 hours were given to casualty work, and about 1,500 cases treated.

During the 1939 Bush Fires, F.A. Posts "Were manned by our nurses; and mobile units of nurses with full equipment are now always ready for a similar emerge ncy. ::.\lembers have been on duty at numerous street marches, displays, etc. Other duties undertaken have been: Taking charge of a creche at Brighton several times a month; helping with immunisation against diphtheria; casualty work at munition factories; and lectures and demonstrations at Headquarters Members of Detachment 400 of the Voluntary Aids who are also St. John nurses did duty at the Queen Victoria Maternity Hospital, \Vayville Camp Hospital, \Voodside Hospital, Vaccination, and X-Ray Department.

In 1943 the Brigade welcomed a Division composed of girls from the 'Yomen's Australian National Services. These girls are amongst some of the most enthusiastic workers, and their record of service compares favourably with that of other new Divisions.

The original Cadet Division . is still meeting weekly at the Headquarters and doing remarkably good ·work. Most of the suburban Divisions are training Cadets, who will be formed into Divisions attached to the adult Division.

of which is a theatre seating about 200 people; it was found impossible to get outside labour, and members did some very fine work before the offici;ll opening. The theatre is kept open most days for the benefit of Brigade members who wish to have lunch there, and nurses from various Divisions are on duty to make tea and act as hostesses.

HOME NURSING AND CHILD WELFARE EXAMINATIONS

The new Home Nursing Textbook is now available at 2s. per copy, plus postage. An article on the changes made in the seventh edition is included in this issue of THE GAZETTE.

Until the end of the year, organisers of classes' on Home Nursing have the option to be examined on the" old (4th) or new (7th) editions, but on and after January 1, 1945, all classes will be examined on the new edition.

In the case of re-examination of Nursing Divisions of the Brigade, the old (4th) edition will be used until the end of the current year. The qompanion publications, "A Catechism of Home Nursing" and " A Preliminary Course of Home Nursing," have both been revised to conform to the new Home Nursing Textbook, but neither are yet on sale. An announcement will be made when these are available. Until the end of 1944, examinations on the Preliminary Course of Home Nursing will be based on the current edition.

Child Welfa1 e.-This is a new subject which has recently been added to the list of certificates issued by the Association. The Textbook for the Preliminary Course is now available from the Stores Department, price 9d. per copy, postage extra. The Textbook for the Adult Course is in course of preparation, and'when ready an announcement will be made in Brigade Orders and in THE GAZETTE.

Regulations for classes may be obtained from Centre Secretaries, or from the Chief Secretary, St. John Ambulance Association, Willey Park, Broseley, Shropshire, for classes formed outside the areas of Centres.

NEW SUBSCRIBERS

SL'C Superintendents passed the Lecturers' and Demonstrators' Examination It is now possible to accept a limited in February, 1943 . Since .then they have number of new subscribers. Orders and all taken classes in First Aid and Home remittances should be forwarded direct Nursing, with excellent results. to the Publishers, The St. John AmbuIn 1942 the Headquarters had to be lance Gazette, 4 6 /47, Chancery Lane, moved; now they are in a basement, part London, VV.C.2.

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THE NEW HOME NURSING TEXTBOOK

By the time this article appears, the seventh edition of the Home Nursing Textbook will oe in circulation and it may be helpful to readers to learn the reason for the various changes which have been made from the previous edition. No doubt at a later date when readers have had the opportunity to read and appreci- _ ate, helpful criticism will begin to come along.

- The first noticeable change is, of course,. the colour of the cover which is symbolic of our nursing uniform, and I hope that the book will become as affectionately known as the" Little Grey Book" as our First Aid to the Injured is known as the " Little Black Book."

The next notable change is the division of the book into two sections; the first containing the material for the lectures and examinations; and the Supplement, with the red-edged pages for ease in finding, for the purpose of reference.

This has helped in two ways. It has allowed a good deal of material which was included in the last book, but which was seldom or never used in home nursing, to be moved out of the body of the book and so relieve the student from cramming information seldom or never required in that way. I refer to such things as Small Pox, Typhoid Fever and the like, interesting from a nursing point of View but never nursed at home.

Thus the student is relieved of learning some fifty pages of information, but it has been kept available for easy reference in case of emergency requirement.

In a short article of this character, which is meant more as an introduction than a review, I can only refer shortly to changes in the body of the book and I shall, therefore, pick out only those parts where ,distinct changes have been made .

Structure and Functions of the Body

A considerable amount of anatomical detail has been omitted as it has already been studied in the first aid course.

Bandages

I think perhaps the most important change here is in general rule No.5 where students are now asked, where possible, to fix the commencin g turn bY ,a superimposed turn, so locking the sta'rt of the ' bandage and making it easier for the student to keep an even tension on the remaining part of the bandaging. This is really commonsense and has frequently been done in practice in the past. The change will be noticeable in some of the illustrations.

New bandages J;lave been added for the ear and eye, two common parts to require bandaging, and also a recurrent bandage for the finger, which, incidentally, is somewhat difficult to illustrate. The Barrel Bandage for the jaw is favoured by some surgeons and is therefore irltroduced.

Changing Sheets

Nurse A and Nurse B are introduced to clarify some of the movements, and an illustration added to make it still more clear.

The impossible has now been made possible by having two nurses on each side of the bed in turning a mattress.

Observation of the Sick and Dai ly Nursing Routine (

These two chapters have been clarified, sorted out and elaborated. Clearer detail is given in the instructions for daily nursing routine.

Routine observation of the Stools and Urine and Sputum is much better described and the method of saving specimens" which plays such an important part in Routine Nursing, is gone into fully.

Diet

I am sure that students will appreciate the transfer to the Supplement of a number of special cooking items and the removal altogether of a number of others.

Methods of Treatment

This section has been considerably elaborated and more fully explained: Some new things have been added and the detail is easier to understand.

Treatment of Certa in Symptoms and of SPecial Di seases

It was felt that special attention should be drawn to these common conditions with their special symptoms; and the advice in Cardiac, Renal and Respiratory diseases should be extremely helpful to the Home- Nurse.

Infection and Its Prevent ion infection is more accurately descnbed and the methods of combating and destroying bacteria are brought up to dat e. Full detail is given in the course of an infectious disease and the action of the nurse ri ght throu gh to terminal

Infectious Disease

These have been divided into two sections: those commonly nursed at home and those never nursed at home. It relieves what was rather a heavy chapter of some of the burden for the student. All incuqation periods, etc., though still 174

somewhat disputable, have been checked with the most recent information.

The use of Tables of Infectious Diseases will help students to check information at a glance.

A full description of Lobar and BronchoPneumonia is included with their special nursing care.

Surgical NursinfJ . .

This chapter IS kept to nursrng rnstructions in common injuries from a surgical point of view, and is not complicated with all the antiseptics and hospital routine as in the previous edition. It was felt that in modern times C1perations are so seldom carried out at home that it was useless to keep a description in the main part of the book, and all this section is therefore transferred to the Supplement.

General Observations

It will be obvious that an attempt has been made to keep the sections of the book on similar lines to the previous edition so that readers will not find too great a change while studying, but will find the matter brought up-to-date and occasionally regrouped in a manner beneficial for study.

It will be noted that there are numerous new illustrations and though the phqtography is not all that it might be, I think they are an improvement on the old ones.

There is now some practical work at the end of each lecture, much of which is new and classes will have to have availab're much more material for practice. This has always been a weak point previously and too much time was taken up with bandaging and bedmaking and many important things were never demonstrated. There is great scope here for good lecturers and demonstrators and it is hoped that they will take every opportunity of showin g the things suggested at the ends of the chapters.

Supplement ,.

Students will find this sectIOn mteresting readin g. Much of it was 'included in the previous edition, but a good deal of ne.w material is included. Pediculi, Catheretisation, special foods and cooking, operating room equipment and assistance, and the remaining infectious diseases are all dealt with fully as are children's ailments and maternity nursing. It will be particularly noted that the instructior:s in the latter subject are confined defirutely to before and after birth of the baby. No instruetions are given for the assistance in the emergency birth of a baby.

Appendices

thermometers as there are quite a few of the latter about. They should not be confused by the conversion table on page 220, e.g., 100 0 C. = 180 0 F. This is the number oLdegrees, and not the reading on the thermometer which will have to have ' 32 added to it to conform.

Blood Transfusion has been included on account of the wide popularity of this treatment and nurses may find themselves called on at any time to assist in either at the phases of this

Glossary

The scope has been increased, and' certain descriptions have been made more accurate.

Conclusion

A new textbook is always looked on with mixed feelings. It is new, and therefore has to be learnt; and being new, is it sufficiently interesting to hold the student It is hoped that the" Little Grey Book" has retained enough of its original matter to reJ;D.ain familiar to the student, whilst at the same time engendering a desire for further exploration. -

"A PRELIMINARY COURSE OF CHILD WELFARE "

S.R.N., S.C.M.

This little ,booklet, which has just been published by the St. John Ambulance Association, will, beyond all doubt, be of use to those members of the Association and Brigade who wish to take a course in Child Welfare. It is comprehensive in its outlook; and it is written in simple language, which can be easily understood by the youngest candidate for the certificate. The synopsis and practical exercises at the end of each chapter will be useful if memorised and practised.

Routine and regularity count most in the lives of small children. We there"'fore think that perhaps it is better and also more helpful to mothers with small families to bathe baby in the morning. There is a good deal to do in the evening with the children to have tea and put to bed , and father coming home to a meal. The directions for giving a bath and also for feeding are clear and concisebut perhaps more stress should be put on the breast feeding of babies. The Appendices B, C, and D are also very clear, while the patterns for clothing are simple in design, the garments bein g comfortable and pleasant in appearance. Altogether it is a very useful little booklet.

It is helpful to group together tables of weights and measures used in medicine, Found.-Silver Medallion No. 155636 and also thermometers and disinfectants, in Oxford. Owner can obtain same on for easy reference. application to the Editor, ST. JOHN

Incidentally, students should be fami- AMBULANCE GAZETTE, St. John's Gate, liar with both Fahrenheit and Centigrade London, E.C.I. 175

No. 1 District.-Area Cadet Officer

Miss Cleasby recently visited Watford and performed the enrolment ceremony of the newly-formed Nursing Cadet Division. She was welcomed by Supt. l\Iiss Watts;' who was supported by Nursing Officer Sister Tovell and Amb. Officers Miss J ohrison and Miss Hunt. After the ceremony a short demonstration was given, including stretcher drill by the Ambulance Cadets.

Miss Cleasby spoke to the Cadets of the wonderful work being done by the Brigade and hoped they would always live up to the great traditions of the Order.

County of July 8, Drs. H. E. Kyles ana L. Datta judged the annual competition for the ""Weber" and " Jefferies" Cups. The result was that Filton Ambulance Cadets gained first place and the" Weber" Cup, with Bristol Central Nursing Cadets runnersup and thus gained the" Jefferies" Cup. Ten teams competed and the judges praised the work, which was of a very high standard. The winners were especially commended as the Division had only been registered two months.

Lancashire.-A display by the Liverpool Ambulance and Nursing Cadets was recently given in the Picton Hall, when the Lord Mayor (Ald. Austin Harford) presided, being supp'orted by the Lady Mayoress, Commissioner ,\V. G. Smith, . the Lady District Cadet Officer, Corps Surgeon, P. Ince, Div. Surgeon C. Hanson, Aldermen Denton and Cookson, also Corps and Divisional Officers.

The items included Folk Dancing, Artificial Respiration, Physical Training, Treatment of Accidents, Signalling, Child Welfare, First Aid 'and Transport, in addition to the making of the Maltese Cross, the repetition of the Code of Chivalry, and a grand march. Corps Supt. :l\1iss E. A. Craig deserves great credit for organising the event. The demonstrations were given by Ambulance and Nursing Cadets from North, South, East and West Liverpool and its suburbs.

Leicestershire.-The enrolment ceremony and a concert on the formation of a Leicester Nursing Cadet Division was held on July 7, when a guard of honour was formed by boys under Cadet Sergt. C. Sanders. Those present included County Commissioner G. F. Brown, County Cadet Officers H. Smith and Miss Gabriel. Supt. Hames introducing the Commissioner stated that in two years an Ambulance and a Jursing Cadet Division had been formed at the Gipsy Lane ,\V.M. Club. Commissioner Brown spoke of the traditions of the Order and thanked the officials of the Club for the manner in

which they had assisted the ambulance movement. Miss Gabriel enrolled the girls and the ceremony concluded with 1\lr. Smith addressing the Cadets. Nottinghamshire.-Cadet War Ser,vice Badges have been gained by Beryl Clarke (Mansfield), Audrey Clamp (Bulwell) and Shiela Holton, Jean Holton and Mary'\iVilson (Robin Hood).

The St. John Cadets were represented at the "Youth in Action" exhibition, which lasted one week at the Y.M.C.A. Hall, Nottingham. The St. John stand represented an accident which had occurred in the old-time Nottingham Fair.

The Committee of the Nottingham J.W.O. recently arranged a visit of some 30 Cadets to one of the local Convalescent Homes. Members from seven divisions in the City and County toured Norwood Park and on the return journey a conducted tour was made of Southwell Cathedral. An essay competition on " My visit to a Convalescent Home" has been arranged and judging is now taking place.

Norfolk.-An enrolment ceremony of the Thorpe House School Cadet Nursing Division was held on July 15, when 60 cadets were present. Lady Albemarle (County Vice-President Nursing Cadets) enrolled 17 new members, County Supt. Dr. May Rutledge presiding. Cadet Supt. Mrs. P. Crotch introduced Dr. Rutledge, whilst Corps Supt. Mrs. Davidson gave a brief report of the Cadets since their formation in May, 1942.

Certificates in Home Nursing and other badge subjects were presented by VicePresident Mrs. Earnshaw (No.1 Division) and 17 proficiency badges were distributed by Vice-President Mrs. Morse (No. 2 Division).

Warwickshire.-The Rugby Ambulance Cadets were recently presented with their drum and bugle band, the cost of which had been collected by the Cadets themselves. County Officer J. G. Fovyler made the presentation, and praIsed the work done by the Cadets. The band consists of one bass and four ' side drums, and eight bugles. All are finished in Brigade Colours. Supt. L. F. Hazell presided, being supported by Mrs. Fowler, County Corps Officer Miss E. Sylvester, Div. Surgeon C. R. Hoskyn, Cadet Supts. J. Burton and Miss S. Spencer, together with other divisional officers.

The annual sports meeting of the Rugby Ambulance and Nursing proved 'a great success, Rugby gaining 66 marks Wyken and District 13, Stoke and :r;nore 8 and Coventry City 2. The sports were or.ganised by Cadet Stlpts. Burton and MISS Spencer, assisted by Cadet Officers J. Lord and Miss Pepper.

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West Riding of Yorkshire.-On July 21, District Officer Mrs. Geldard conducted an enrolment ceremony of the Manningham Nursing Cadet Division. County Cadet Officer Mrs. Ford, who had examined two Cadet Officers, Mrs. A. Claughton and Miss E. M. Town, presented the Cadets with their preliminary first aid certificates.

Lowe. County Cadet Officers Nixon and Mrs. Lcqcock, together with COlTPS Officer Mrs. Stephenson, inspected the camp. A special church service was held in the village church.

Sussex.-An enrolment ceremony of the Rye Ambulance and Nursing Cadets was out jointly by County Officers C. W. L. Pile and Miss Trill; the former also inspected the Ambulance Cadets. L The competition for the" Hartley Shield" between the divisions was judged by the County Officers, the Nursing Cadets winning by five marks. Ald. J. 1\1. Jenkins (President, Rye Ambulance Division) presented the trophy to the winners, also first aid outfits donated by Amb. Officer Mrs. Hartley. Those present included District Officer Milton, Miss Tate (President) and Miss N. K. Delves (VicePresident Rye Nursing Division), Supt. Woodgate" parents and friends. The Nursing Cadets revisory examination and inspection was taken by Miss Trill.

During the Leeds Festival of Youth '\¥eek, organised by the City, the Leeds Cadets did well in first aid competitions. In the No.1 event (boys and girls under 16 years of age) Chapel Allerton Cad'et Nursing Division gained first place, with Hunslet and Holbeck Cadet Ambulance Division as whilst in the No.2 event (boys and girls qver 16 years of age) the Hunslet and Holbeck Ambulance Cadets gained first place. With the Pudsey Cadet Ambulance Band, some 150 Ambulance and ursing Cadets under Corps Supt. M. B. Fenton, took part in the massed rally of youth at which H.R.H. The Duke of Gloucester addressed the vast assembly and took the salute RAILWAY AMBULANCE NEWS at the march past.

LONDON & NORTH EASTERN

The 1I1altby Nursing Cadets collected North Eastern Area.-In spite of many £58 during" Salute the Soldier Week." calls upon members it has again been A mile of pennies scheme was taken over possible to hold District Competitions. by Amb. Officer Bailey and Sergt. Brown, Thirty-six teams competed with the of the Adult Division. The Cadets sold following results :-Darlington District, articles made at their homecraft evenings Darlington Yar.ds Masters (Judges: Drs. and realised £6 lOs. The Matron of the W. A. Hogg and C. D. Wilson); Hull "Wartime Nursery (Sister Garnett) gives a District, Hull Station (Drs. N. Jennings good account of the Cadets' help; she and P. M. Scott); Leeds District, Leeds also gives lectures on Child Welfare to the Ladies (Drs. T. R. Hunter and A. C. older members. Brown); lVIiddlesbrough District, West

The Cadets of Huddersfteld, as part of the Hartlepool (Drs. R. Harkness and W. M. Jubilee celebrations of the Huddersneld Ritchie); Newcastle District, Tyne Dock Corps, had a talk on the Order from (Dr. W. H. Pallett); York District, York Mrs. Lodge. Mr. W. Mabane also ad- Carriage Works No.1 (Drs. C. D. Wilson dressed the Cadets on the value of nutri- an.d D. N. Mackenzie). The Final comments. From his work at the Ministry petition for championship award held of Food he had seen how the value of on July 8 at York. Tyne Dock gained nutriments had developed and he im- first place,.... with York Carriage No. 1 pressed upon his hearers that a valuable runners-up. Dr. R. A. Dench set and part of their training should be in health judged the tests. Mr. C. M. Jenkin Jones matters. (Divisional General Manager and President Northumberland.-The annual Cadet of the N.E. Area) presented the substitute sports of the North Tyneside Corps was "\¥harton Shield" (the original having held in Backworth Welfare Park. Eleven been damaged by enemy action ill 1942). Cadet Divisions with a total of nearly LONDON, MIDLAND & SCOTTISH 300 cadets paraded. The Ambulance The annual report ofthe work in Scotland Cadet Challenge Cup was won by Forest shows that nearly 2,000 members of the Hall Division for the second year in staff were again efficient during the year succession, and the Nursing Cadet Chal- ended March 31, 1944. lenge Shield by l:he newly registered Derby.-Mr. W. B. Carter (District Shiremoor No. 2 Division. Among the Goods and Passenger Manager) presided visitors were County Cadet Officers Wm. at the annua1 presentation of awards to Nixon and Mrs., Laycock, Corps Officer members of the Offices Ambulance Class. Mr's. Stephenson and Corps Officer E. Lieut.-Col. J. W: Watkins distributed the Robson (Newcastle). awards, which included a 40 years' Long A week-end camp was held at HolyweJl Service Bar to T. Burnham and a Long and nearly 100 Cadets spent an active Service Medal Gold Watch to W. Hatch. time under canvas. The Camp Com- A gift was made to Dr. Penny in appremander was Area Cadet Officer R. H. ciation of his services as class lecturer.

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HEADQUARTER NOTES

THE LATE MISS LUMLEy-SMITH.-The following tribute has been received from Lady Louis Mountbatten;-

Moya Lumley-Smith had a very special quality of charm and warmth of heart which contributed greatly to the family spirit among St. John workers at 3, Belgrave 'Square.

Her own personal modesty belied the efficient and successful manner in which she carried out her work, often of a very responsible nature, and no harder or more conscientious worker could have been found.

Courtesy is for some only an outer garment worn as occasion demands, but -with her it was the natural expression of an utterly selfless character which found .in the accomplishment of the smallest task an act of happy service to her fellows.

From all parts of the country letters have been received saying how much her welcome meant to all those visiting Headquarters, and how much this will be missed. We too shall miss her greatly, but her spirit will remain to help those who loved her, and who felt such happiness' in serving with her.

COUNTY OF BUCKINGHAM

Lady Louis Mountbatten (Supt.-inChief, N.D.) carried out the inspection of the South Bucks Corps, accompanied by County Commissioner Major DarvilSmith, County Supt. Lady Dawson of Penn, and the Mayor of Slough. The was under Asst. County CommlSSlOner F. H. Schooling, the general salute being played by the 9th U.S. Army Air Force. During the inspection Lady Louis spoke to many members and following a brief display addressed the parade. She was proud to see so many records of long service and the wonderful army of young cadets. ,

The Mayor also referred to the work of the Brigade and thanked the members for their assistance.

The Assistant Commissioner thanked Louis for taking the inspection, which was an inspiration to all on parade.

COUNTY OF CHESHIRE

Birkenbead.-Corps Officer W. L. Pollock has invented a new type of which will assist in the carrying of down narrow stairs, along small landings and rooms, often a difficult task to negotiate. The stretcher can be in length by simply removing two pillS and converted into a chair arrangement which enables it o be carried and along narrow passages WIthout aJ?-y rt;lconvenience to the patient. Another unportant feature is. that on

arrival at hospital the new stretcher is lified from the patient, not the patient fro:t;Il stretcher. This is accomplished by a series of hooks.

A full scale model was shown MajorGeneral F. V. B. Witts, the Assistant Director of Ambulance of the Order, during his recent visit. Corps Officer Pollock will supply further information on application to 39, Shamrock Road, Birkenhead.

COUNTY OF CUMBERLAND

Keswick.-Mrs. John Cameron has been appointed Superintendent of the Keswick Nursing Division, with Miss E. Ray (7, Stanger Street, Keswic]{) as Divisional Secretary and Mrs. F. Birkett as Treasurer.

COUNTY OF ESSEX

The annual cup competition for Nursing Divisions took place on July 15 at Colchester, when Asst. Commissioner Dr. J. T. Whitley judged the first aid team test, and Miss Elliott, S.RN. (Matron Essex County Hospital), jud ged the Bedmaking and After-care. The cup, given by County Supt. Mrs. Smellie in 1940, was won by Colchester, followed by Writtle. The cup was pres ented by the donor, who was also responsible for the arrangements.

Those present included County President Mrs. Arnold, County Surgeons Ewing and Radcliffe, County Cadet Officer Miss Spurgeon and other officers and members • of the Brigade. , >

COUNTY OF GLOUCESTER

Lady Louis Mountbatten (Supt.-inChief, N.D.) visited Gloucestershire and inspected the work of the J .W .O . and Brigade.

On Friday, July Lady Louis, accompanied by Her Grace the Duchess of Beaufort and Col. J L. Sleeman (Chief Commissioner, Brigade Overseas and No.7 Regional Repr esentative), be aan her tour by visiting the Edgeworth °Manor J.W.O. Convalescent Home, where she was met by Asst. County Commissioner H. J.. Lewis (chairman J.W.O. County ComIDlttee), County Supt. Miss Faber. The Dockem House Convalescent Home where boys, mostly from London, recovenng from illness or operations was

After tea Lady Louis proceeded to Bourton-on-the-Water, where she was met by County Commissioner Dr. Barrett Cardew. She inspected all divisions from the North Cotswold area and then journeyed to Tewkesbury, where divisions paraded in the grounds of the historical Abbey.

OJ?- Saturday, July 22, Lady Louis contillued her tour, visiting the Chelten178

ham Ambulance Headquarters and in- At Ross she inspected the Ross·Ambulance spected the fine fleet of ambulance and Nursing Divisions, and later inspected vehicles and also the lecture hall and the Brockhampton Nursery (staffed by classrooms used jointly by the B.RC.S. B.RC.S. personnel). Thence on to Elmthe Brigade for training purPoses. hurst Auxiliary Hospital at Hereford. The Brockhampton Park J.W.O. Auxiliary On the Sunday morning she visited the Hospital was also visited. Coningsby F,[ospital (the ancient founIn the afternoon the J .W.O. Mobile dation of the Order) at Hereford, and Canteen was inspected; and later the inspected the Coningsby Company of Mayor of Cheltenham, County Presiclents Servitors. Later the Blood Transfusion and the Borough Member, and other dis- Centre was visited and here, as at other tinguished .guests, were entertained to tea places, Lady Louis expressed her pleasure at the St. John County Office. _ in the way in which members of the Then followed an impressive parade Society and the Brigade work harand inspection of all Cheltenham and moniously together. neighbouring Ambulance, Nursing and ISLE OF MAN COUNTY Cadets Divisions. Lady Louis Mountbatten recently paid' On Sunday the day started with a a two-day visit to the Isle of Man, during church parade at Lydney, followed by an which she inspected a joint parade of the inspection of all Forest of Dean Divisions. Island's Red Cross Detachments and St. In the afternoon Lady Louis proceeded John Ambulance and Nursing Divisions, to Gloucester, where she was welcomed the Red Cross Youth Detachments and by the Mayor and Mayoress and the City the St. John Cadets Member, and inspected the Gloucester Lady Louis was accompanied by the and Stroud Division. Tea was served in Countess Granville, County Brigade Presithe Guildhall through the kindness of the dent, being received by Dr. Brierly Mayor. (B.RC.S. Director) and County ComOver 1,500 members of the missioner Major J. W. Young. Lady were on parade at the various inspections, Louis mentioned that she was a .,great and Lady Louis expressed her great believer in combined operations. She was appreciation of the work of the Brigade particularly pleased to see six Grand in the County. Prior Cadets on parade.

COUNTY OF HEREFORD On the second day' Lady Louis adOn Sunday, July 9, Lady Louis Mount- dressed the annual meeting of the Isle of batten (Supt.-in-Chief, N . D.) inspected Man J .W.O. and congratulated the 600 members of the Hereford County workers on the good work they had done and subsequently attended a special for the organisation. service in the Cathedral. She was accom- Other activities included visits to panied by Col. J. L. Sleeman (Chief Service and Civilian Hospitals and attendCommissiop.er, Brigade Overseas), and ance at a dance organised by the Prisoner those present included Viscount and of War Relatives' Association. Viscountess Hereford (County President), COUNTY OF KENT Brigadier Copland-Griffiths and the Hon. Folkestone.-Me mbers of the FolkeMrs. Copland-Griffiths (Supt.-in-Chief, stone Corps (Ambulance, Nursing and Brigade Overseas), Dr. G. D. Tullis, Lady Cadets), to gether with representatives of Lettice Cotterell (County President, the B.RC.S. and C.D. Services, attended B.RC.S.), the Dean of Hereford, Chief St. John's Church to celebrate St. John's Constable Freeman Newton, the Town Day. Those presenf included Dr. T. C. Clerk (Mr. T. B. Feltham) On her tour Richie (M.O. Casualty Services), Lieut.of inspection Lady Louis was accom- Col. C. A. Clarke (Chief Warden), County panied by the Mayor of Hereford (Ald. Cadet Officer Miss Curzon Smith, Corps R. C. Monkley), County Surgeon C. W. Officers L. B. Easton and Smith, together Walker, County Supt. Mrs. Edward with divisional officers. The congregation Hopton, County Officers Morris and Mrs. also included the Mayor- and Mayoress Hod geson, and Capt. S. T. Beard (Com- (Ald. and Mrs. A. Castle). The service missioner for Monmouthshire). The was conducted by the Vicar (the Rev. parade was under Acting County Com- I. C. Hickin). missioner G. N. Bullock, assisted by COUNTY OF LANCASHIRE County Officer H. J. Harris and County Liverpoo1.-The Liverpool Nursing Sergt.-Major J. Roe. . Corps held their annual Church Parade

The service was conducted by the Dean in the gardens of St. Luke's Church, the of Hereford, who also gave the sermon, Vicar (the Rev. F. Taylor) conducting assisted by Canon C. E. Warner. Lord the service and giving the address. About Hereford read the lesson. 150 officers and members of the Nursing

On July 8, Lady Louis visited the and Cadet Nursing Divisions were on hospital at·Harewood Park and Wyastone parade. The collection for . the OphLeys (both staffed by St. John personnel). thalmic Hospital amounted to £6 6s. 179

COUNTY OF LINCOLN

Grirnsby.-Members of the Grimsby Ambulance, Nursing and Ambulance and Nursing Cadet Divisions, numbering about 100, attended Divine service at the Parish Church, where the Vicar (the Rev. Canon Marsden) gave the sermon. District Officer 'lV. Gott was in charge of the parade.

On July 4, the Grimsby Nursing Division held a social and dance with the view of endowing a cot at the Grimsby and District Hospital.) A varied programme of dancing, singing and games was arranged. Those present included District Officer Gott, who thanked those who had supported the function, and Amb. Officer Mrs. Aylott, recently recovered from an operation.

COUNTY OF NORFOLK

The annual inspection of the West Norfolk and King's Lynn Nursing Corps and Cadets was preceded by a parade to St. Margaret's Church, the salute being taken by the Countess of Albemarle, County Vice-President for Cadets. She was accompanied by County Supt. Dr. May Rutledge, Corps President Lady Fermoy and Corps Supt. Mrs. Donald Jackson. The Rev. H. D. Anderson (Rector of Sandringham and Vice-President) preached the sermon.

In the afternoon a Nursing demonstration was arranged by Rippingille at the London Road Head<1'Iarters.

Lady Fermoy presided at luncheon, and welcomed Lady Albemarle, who mentioned her special interest in the Cadet Movement.

Corps Supt. Mrs. Jackson, in welcoming the County Officers, said that Dr. May Rutledge was always ready to advise and help them.

Dr. Rutledge referred to the great amount of work done by Mrs. Jackson and stressed the importance of training young members to live up to the high ideals.

Thetford. - Members of the Thetford Ambulance and Cadet Divisions presented an electric steriliser to the Thetford Cottage Hospital in memory of their late Surgeon, Dr. A. Oliver.

The presentation was made by Supt. N. C. Ley, who stated that the high efficiency of the Division was due to Dr. Oliver's instruction. They were fortunate in having Dr. Tom Oliver as their Surgeon and he was sure he would make an excellent successor to his father.

The visitors inspected the recently installed infra-red and radiant heat lamp and other apparatus.

COUNTY OF SURREY

Guildford. - The annual report of the Guildford Corps shows that members of the Ambulance, Nursing and Ambul-

ance and Nursing Cadet Divisions (being a complete family) have continued with the good work of the Brigade. During 1943, 5,274 cases were removed by the Ambulances covering 44,289 miles, an average of nearly 8t miles per call. Nearly ·300 patients were treated. on public duty, and over 400 comforts were issued. The financIal position is in quite a good condition.

COUNTY OF WARWICK

H.RH. The Duchess of Kent, accompanied by Lady Rachel Davidson (Ladyin-Vi aiting), visited Warwick, where she was met by the Mayor (Ald. H. J. Ansell), County Commissioner Major E. S. Phillips and the Lady Helen Semour (President, B.RC.S.). A guard of honour, under Supt. J. L. Field, was composed of Ambulance and Nursing personnel. At the St. John Headquarters Office the folloWing were presented to the Duchess:

The Hon. Mrs. Fitzroy Newde gate (President), the Lady Alexandra Metcalfe and the Lady \Villoughby de Broke (VicePresidents), County Supt. :Miss 1.,. M. Orton, Asst. Commissioner W. A. J ennings, County Surgeon J. Pirie, County Cadet Officers G. F. Fowler and Mrs. Shulman. Her Royal Highness then visited the Red Cross and St. John J.W.O. rooms and stores.

At the Shire Hall the Duchess and her party were met by Sir William Dugdale and entertained to lunch by the Warwickshire County Council. Those present included the Hon. A. E. Parker, Mr. Edgar Stephens, Br. Fraser Brockington, Mr. Perkins, the Hon. Mrs. Laken and Mrs. W. S. Howard (County Council), the Mayor of Warwick, and officials of the Brigade and B.RC.S.

After lunch, Her Royal Highness proceeded to the F.A. Post, where staff and personnel, together with Divisional officers, were presented. Later St. John personnel, Ambulance, Nursing and Cadets, were inspected, there being over 100 on parade.

The Duchess congratulated Miss Orton on the number present and the smartness of the members and expressed pleasure at seeing so many young people present.

EAST RIDING OF YORKSHIRE , Cottingharn.-The annual meeting of the· Cottingham and District Nursing Division was attended by County Officer Miss Colliver, Div. Surgeon E. O. Halliwell, Supt. Mrs. French, together with officers and members of the Division. Reports were presented by the Secretary and Treasurer. Six members have done full-time hospital work; others had given 250 hours part-time. Over 160 cases had been dealt with, and attendances with the ambulance had taken up 912 hours. Over 200 visits were paid by (Continued qn page 190)

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HEADQUARTER NOTES

Sir William Cope, Bart., presiding at a meeting of the Council of the PrioIY, for Wales, held in Cardiff on July 25, receIved a deputation from the Treorchy and District Field Day, whose Treasurer, Mr. Edward Miles, presented a cheque for £365 17s. 2d. for H.R.H. the Duke of Gloucester's Red Cross and St. John Fund. The Organiser of the Field Day, Captain D. G. Richards, a member of the Priory, expl ained that in the past four years the Fund had benefited to the extent of over £1 ,014 from the proceeds of this annual event.

In the absence of Sir L. Twiston Davies, the Librarian, Captain W. J. Canton reported, as Assistant Librarian, on recent gifts to the Priory Library and Museum, including three volumes of historic interest and some Insignia of the Order.

At the preceding meeting of the Ambulance Committee, the Chairman, Dr. D. Rocyn voiced the feeling of all present in welcoming the presence of the Hon. IVIrs. J. H . Bruce after her absence owing to serious illness.

The ?'eport of the Moto Ambulance Transport Sub-Committee owed that during the quarter ended June 30, Priory Ambulance Cars at 20 Car Stations in South 'Wale s conveyed 5,361 cases and travelled a distance of 87,718 miles.

Arrangements for opening three new Ambulance Stations at Swansea, Newport and Glanamman were confirmed.

Sanction was given to the formation of the Royal Ordinance Factory, Llanishen (.cardiff) Amb ulance Division, Llanrwst (West Denbighshire) Cadet Ambulance Division; Cornelly (Glamorgan), Penrhyncoch (Cardiganshire) ' and Devils Bridge (Car diganshire) Nursing Divisions and Pengam (Monmouthshire) Cadet Nursing Division.

The appointment of Mrs. E. D. Hardie, M.A., as Cadet Training Officer, made in consultation with the Cadet Officers for Wales, Captain D. G. Richards and Mrs. (Mary) Ingledew, was confirmed.

It was noted that a new Preliminary ,Course in Child Welfare has been prepared by the St. J ohn Ambulance Association·; the text-book for the Adult Course is in course of A Revised Edition of the St. John Home Nursing Textbook is now on sale T h e number of examinations in Fir s t A id an d Home N ur sing arranged d u ring t h e first half of 1944 by the Priory for W ales was 638.

BRECKNOCKSHlRE CENT RE -The Commissio n er fo r Brecknockshir e, Co lo n el C. G. Cole-Hamilton, is to be congratul ated on the formation of two n ew Medical Comforts Depots at Hay a nd Builth Wells, which are already d oing good service.

An incident of the successful applic ation of artificial r espiratio n is reported from the Cefn Coed Division. A 'lad named David Williams fell into the r iver at a n d was u nconscio u s wh en brought to the bank. Private Ll ewellyn Flook, hel ped by some bystanders, c ontinued to apply artificial respiration fo r nearly 20 minutes before life was apparent. Subsequently treatment was continued for over an hour when the boy was removed to hospital on docto r 's orders. From reports received it appears that had Private Flook not been present the lad would have died.

CAERNARVONSHIRE CENTRE.-Since his release from the R.A.F:, the ComrmSSlOner, Sir Michael R. V. DuffAssheton-Smith, Bart., has attended St. John functions organised by the units in many paris of the country, including Dolgarrog, Bangor, Penmaenmawr, Llanfairfechan, Llanberis, Tregarth and Llandudno.

The Centre Secretary, Mr. W. T. Davies, has passed on copies of two splendid testimonials to the services rendered by ;l u pt . G. H. Anderson, Penrhyn Quarry Division, and Cadet Supt. W. Ball, as Commandant and First Aid Officer respectively, written by Messrs Joseph Parks & Son, Constructional Engineers, on completion of their work at Conway. Many cases of a varied nature had been dealt with and it is stated that the small percentage of man-hours lost by reason of sickness, was a tribute to the efficient manner in which immediate treatment was applied.

EAST DENBIGHSHIRE CENTRE.-At the quarterly meeting hel d at the County Buildings, Wrexham, on J uly 6, the Chairman, Sir Charles B. L owther, B t., appealed as Commissioner fo r the s u pport of all mem bers for the blood transf u sion service, stressin g the importance of t his work: particul a rl y in respect of wo unded soldiers and injured ci vilian s. The Commissione r was pleased to anno u nce that t he Cefn Ma wr Amb ulance D ivision had acq u ire d a p ermanen t h eadq u a r ter s, the official opening o f which took plac e on July 8. He expr essed his p l easur e' that

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the Brynkinallt and Chirk Division h ad restarted their Cadet Division, which, owing to the officers being on war work, had lapsed for three years. He urged those Divisions who had not yet formed Cadet Divisions to make an effort to get them started. Reference was made to the assistance given by St. John members in providing stretcher bearers to assist with the convoys of wounded coming into the locality. Xo fewer than 43 members had turned up to meet the train on the first occasion and the Medical Officer in Charge had expressed his appreciation of the work done.

}l[ONlIfOUTHSHIRE CENTRE. -A new Ambulance Hall was opened at Six Bells, Abertillery, on, July 8 by the Joint Secretaries of the Miners' '\;Velfare Committee, 1\1r. Iestyn V,Tilliams and Alderman ,\Y. J. Sadler. Mr. George Daggar, M.P., presided, and the Hon. John H. Bruce, Principal Secretary and Commissioner for Wales, expressed the thanks of the Priory to the Miners' \Velfare Committee for their generous support of Ambulance work. The hall had been furnished by grantaid from the Committee, and an application for a grant towards adaptations had received favourable consideration Captain S. T . Beard, Commissioner for Monmouthshire, thanked the Trustees of Hafod Van for their free gift of a hall, which would be safeguarded jor all time.

Major A. Reade, presiding at the annual meeting of the Monmouth Division, said the flourishing state of the unit gave good reason to look to the future with confidence. In his report the Divisional Secretary stated that about two-thirds of their members were on active service, many in the medi cal section of their units, and the majority of the members left were in the Rescue Service . During the year 103 cases were dealt with,

nusslOner for ,\Vales, and the Hon. Mrs. J. H. Bruce, and many others. He said they were meeting to mark 38 years' service in the St. John movement at Abercynon. Mr. Rhys Morgan, J.P., spoke on behalf of the citizens of Abercynon as one with a personal knowledge of Mr. Jackson's good 'e'ork, and was supported by Lady Corps Cadet Officer Mrs. Mullett. Lady Div. Supt. M. Davies and Div Supt. Henry Thomas referred specially to the history of Supt. Jackson at Abercynon, and his capabilities as a competition judge_ and his work for the Medical Comforts Depot and Cadet Drum and Fife Band. Others who joined in the tribute were Div. Surgeon D. W. R. Thomas and Mr. Hywel Davies, the Treasurer of the Fund. The;' High Constable for Miskin Higher presented Corps Supt. Jackson with an illuminated address and a cheque for £105. The High Constable referred to many presentations that had been held lately in the Aberdare Valley, but he did not think there was one more highly justified than this presentation to a person who had cated his life to the Service of Mankind. Corps Supt. "Walter Jackson, in responding, thanked everyone who had subscribed to the Presentation Fund and for the kind references to his work. The Hon. John H. Bruce congratulated Supt. Jackson on his record in the Brigade from March, 1906, and spoke on the significance of the white cross of the Order. The last speaker was Alderman J. Dicks, who commented on Mr. Jackson's work, particularly at a colliery, referring to the great improvements in First Aid in Mines during the past 30 years.

SECRETARY OF THE ORDER

involving 110 patients, the ambulance Owing to ill-health, in consequence of covering 1,400 miles. Div. Supt. Rees wounds received in the last war, Major Morgan thanked the Ambulance and Douglas M. Gordon has resigned his Nursing Divisions and paid tribute to the position as Secretary of the Order. Lad y Superintendent of the Nursing Major-General J. E. T. Younger has Division (Mrs. 'Webb), Lady Cadet Supt. been appointed as Secretary of the Order (Miss M. Hunt) and Lady Cadet Officer from August 1. He has had a long and Harris) fo r their efforts with the varied military career, and during the cadets. He congratulated Major Reade on last war went to France in August, 1914, twenty years' unbroken service as Presi- with the B.E.F., where he became a dent, and Sir Leonard Twiston Davies, prisoner of war. He has held many posiwho had held office as Vice-President for tions and was Deputy Assistant Direct o r the same period. of Artillery, War Office, 1934-36, comABERDARE CENTRE.-On Thursday, manded XXVII Field Regiment, Royal July 6, Ambulance personnel and friends Artillery, Lahore, 1936-37, Assistant gathered at Bethania C. M. Church Director of Artillery, War Office, 1938-39, Vestry to pay tribute to Corps Supt. Commander 57th A.A. Brigade, 1939-40, Walter Jackson, Lower Cynon Valley Commander 3rd A.A. Division, 1940-42, Corps County Surgeon GwiJym Pierce Brigadier-General Staff, British Army presided, supported by the High Con- Staff, Washington, 1942-43, and Comstabl e of Miskin Higher, Mr. G. Ff. mandant, Civil Affairs Training Centre, Williams, the Hon. J ohn H. Bruce, Com- 1944 184

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INTERESTING

CASE REpORT No. 256.-The Officer-inCharge of the West Riding of Yorkshire S.] .A.B., reports the efficient performance of first aid by a member of the II B " Division, Rotherham Corps, in the following circumstances ;

On March 16, Corporal L. G. Newbould, who is employed at the Parkgate Iron & Steel Co., was called to the blast furnace department, as he had been told that several men were gassed.

Accompanied by Mr. L. . S. George, Ambulance Room Attendant, he proceeded to the blast and gained access to the top of No.1 hot blast stove by means of the spiral stairway, 75 ft. high. He passed down a rope [adder and attached a life-line to Robinson (deceased) and had him hauled up through the manhole on to the top access platform. In like manner he rescued Green (deceased), Cartwright (deceased), and Frost (survivor). This done, he made certain that there was no other person inside the stove and then climbed the ladder to the top access platform. Despite instructions to ' rest, he at once commenced artificial respiration on Frost, and did not desire to be relieved in spite of the arduous task which he had already performed. He continued to apply artificial respiration fgr one and a half hours.

COMMENT.-The facts being as stated, Corporal L. G. Newbould merits cord.ial congratulations on the good work whi ch, with willing assistants, he carried out on this occasion.-N.C.F.

CASE REpORT No. 257 .-The Divisional Surgeon of the Bristol South Division, S.] .A .B., presents an interesting case which he describes as follows ; One afternoon, as I was leaving a patient's house, a lady rushed from a

CASE REPORTS

house opposite and called out to me: "Come quickly, doctor; my old lodger has gassed herself!" I ran into the house , and in one of the rooms found an old lady lying unconscious, face downwards on the floor, and surrounded by the broken fragments of a milk jug, spilt milk, and an upturned caddy of tea.

Gas was escaping from a tap situated in front of and to the side of the fireplace.

By the tap was a detached line of flexible gas-tubing leading to a ring on which was a kettle of boiling water. The old lady's right foot was very close to the gas tap,. and her breathing had practically ceased.

I turned off the gas, opened the windows and door, and commenced Schafer's artificial respiration. After some 25 minutes breathing was to normal; and shortly afterwards the old soul regained consciousness. We put her to bed, and then on examination I found that she had a definite weakness (but not complete para*sis) of the left arm and leg

This cleared up the whole situation . Obviously what had happened was that · the patient had been about to make herself a cup of tea when she was taken in a slight stroke; that as she fell h er foot had pulled the gas tubing from the tap; and that whilst she was lying unconscious from the stroke she became poisoned by the gas.

It must be unusual to fihd one patient suffering from two distinct causes of insensibility !

COMMENT.-Truth is always stranger than fiction, and cordial thanks are ten\. dered to Divisional Surgeon O. E. L. Sampson for his interesting case report.N.C.F.

QUESTIONS AND ANSWERS

Treatment of Burns the instructions on p. 180 flooding the burned A. C. (Peckham).-In a recent compe- parts is only to be carried out when bitition a patient was supposedly suffering carbonate of soda is not available. Further, from nitric acid burns. The marking a singZe layer of l int soaked in bicarbonate sheet contained no marks for flooding the of soda solution would not be effective for part with warm water but the area was more than five minutes. For this reas(Jn required to be swabbed with bicarbonate the Textbook on p. 43 suggests the use of solution. The application of the bicar- four thicknesses of we t dressings.-N.C. bonate solution, however, was required Treatment of Amputated Finger to be four thicknesses of lint; and when P. G. (Wandsworth).-Will you please addressing the competitors the judge, who give me your rulin g on the treatment of though a member of the Brigade was not the following injury? In a recent coma doctor, stated that he r ead the instruc- petition we were told that a man had lost bons of the Textbook on p. 47 to imply a p ortion of his first finger whilst working that dressings for burns should be four a circular saw. . thicknesses. Do you agree? After treating by application of presOn both points I find that the rulings of sure on the ulnar and radial arteries,. your examiner were oorrect. According to dressing the wound and placing in large

l\emembranct

for GARDEN, CHURCHYARD or CEMETERY, provide a fitting and lasting tribute.

Processed to the designs of artists from actual historic stone from the HOUSES OF PARLIAMENT (damaged by Enemy Action, 1941), and sold to benefit the RED CROSS AND ST. JOHN FUND-owners of the material.

Certificate of Authenticity signed by Sir Vincent Baddeley, K.C.B. on behaU Red Cross, given with every piece.

Illustration shows design with Cross inset Gut to - take growing plants or flowers-prices from £5 5s.'--others in _ our list.

Our Illustrated list shows many designs of Bowls, Bird Baths, Sundials, etc., also Book-ends and other items for Home use or Gifts (prices from 10/-), a copy will be sent on receipt of 2icl. stamp.

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Increased strain consequent upon changed conditions, both at work and at home, has inevitably been reflected in the greater prevalence of minor gastric complaints.

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ar m sling f or s up port, I was tol d that t he examiner (who was n ot a docto r ) required pressure o n the b rachial artery, and aft er dressing the wo u nd, splinting of the han d fo r crushed han d and then p l acing the fo r earm in a St. J ohn sling. I co ul d no t ag r ee with this and so ask yo u r kind ruling

Your treatment was strictly in accordance with Textbook instructions and was perJectly correct on all three points. Compression oj the main arte1'ies should be made as low down the limb as is possible; treatment Jor crushed hand would be a waste oj time and energy; and the St. John sling is reserved Jor cases oj bleeding Jrom the palmar arches.-N.C.F

Improvis e d Armchair

E F (Ellacombe).- I am a Private i n the Brigade; and some 18 months ago I devised a method of supporting a patient who has to be removed in the sitting position, my suggestion being as fo ll ows:

(1) Tie two narrow triangular bandages together end to end.

(2) Tie the point of an open triang ul ar bandage to the knot which links the narrow bandages.

(3) Place the tied portion of the three bandages (knot outward) two i nches below the collar of the sitting patient ;

(4) Bring both narrow bandages fo rward, one on each side of the patient, cross in front of the patient and again below the knees; finally tying the ends in front of the patient and bel ow the kneecaps; and

(5) Bring each end of the open bandage forward round each side of the patient , twist each end r o u nd each loop fo r med by the two narrow b andages, and then tie the ends togeth er firmly between the. trunk and knees.

It has been objected that gr eat d iscomfort may result from the pull of the bandages on the knees. This, however, could be avoided if the patient's back and knees are well padded with blankets or other suitable alternatives .

As the resul t of experiments I believe that I am justified in claimi n g that my method of transporting a sitting patient is more effective a n d more comfort a bl e (especially on a hillsi de or other irreg ul ar surface) than t he one which I was ta u ghtnamely, placing b andages ro u nd patien t's neck and knees. Neverthel ess, I welc ome your opinion and those of other r eaders of THE GAZETTE

Your suggested " armchair" -is most ingenious, and would be most useJul in exceptional circumstances. S o I tender cordial. congratu l ations and bes t t han k s J or supplymg the 1Mcessary instructions.N.C .F.

Poisoning by Chlorine Gas

S W (S p on do n ).-I wo uld b e g rat e ful

if yo u wo ul d tell me what are the effect s and treatment of chl orine gas. Havin g recently been invalided out of H M. Forces after four years' service, and be in g a member of the Brigade, I am now i n ch arge of a Fir st Aid room, and wo uld like to know the l atest methods.

Chlorine gas is used as a disinJectan t and bleaching agent, its leading symptoms in case s oj poisoning being irritation oj throat, cough, tightness oj chest, difficulty in breathing, and t'nability to swallow.

The effects oj chlorine gas d.epend on its concentration, or the length oj exposure. IJ this be high, or the period prolonged, then severe inflammation oj the bronchial tubes may quick ly ensue, and be Jollowed by acute bronchitis.

I n t hese the only possible first aid treatment is to keep the patient recumbent and well wrapped in blankets, and to transJer him with all speed to llOSpitat.-N.C.F.

Treatment of Infantile Convu l s ions

D .B. (Preston).-Please tell me why (and how) a child suffering from infantile co n v; ul sions i s to be supported in a hot bath , especi ally as the Textbook (p. 162) tells us that he or she is to be placed in b a t h " up to the neck."

T he child is to be supported in the bath because he/she, being in a state oj convulsion, might easily become totally submerged and so more or less asphyxiated. It is, thereJ01'e, 'easier and saJer to support the child with one's hands i12 the armpits than a1'ound the middle oj the body, especially when the body and hands are rendered slippery by contact with water. TV hile this is being done, it is the J'ob oj somebody else to "keep a sponge Jrequently dipped in co[d water on top oj the head."-N.C.F.

A C Ol\\l>et ition P r ob le m

D. D (Bristol).-Recently we held our Divisional Competition for which the test was a plane crash, the patient being severely burned on face, chest and upper limbs, and a l so suffering from compo u nd fracture of r ight humerus, . In his summing up the judge (who was a doctor) told us that we should have informed the doctor in the test that the patient would r eq u ire a' b l ood transfusion and a l so morphia: I contend that, if we had done so, we should have been g uilty of " taking upon ourselves the duties a n d responsibilities of a doctor," and that b y so doing we shou l d have acted co ntrary to Prin ciple No. 13 on p. 26 of t h e T extbook. In a n ticipation of yo u r ki n d rulin g, m.ay I add t hat I a lways l ook fo r war d t o yo ur in te r estin g r ep li es t o o u r q u e r ies ? .011, your stajement oj Jac t s I agree en tire ly w1,th you.-N. C. F . 188

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FOR _ Instantly protects against germ Infection, WOUNDS. preventt blood pollan In" Ind proCUTS motel rapid heafln, I Germolene , caulel the broken tl"uel to unite, BURNS, ,row. new Ikln Ind helll over the SKIN broken place cleanly. It .oothe. ata touch, ends pain and brln,. eue At the present time, NO home IhOUld be r../'V'U'"'-"'./"oJ'V without I tin ofthe world'. Qulckelt healln, ointment. Get youn to dlY I l 1/4 and 3/3 per tin I (lnc/udini Purchase Tu) J

The Painless ANTISEPTIC

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II ACRYLIC II DENTURE CARE

Whatever the material used for the base, absolute cleanliness of the denture is essential to the patient's well-being.

Kolynos Denture Powder, used in conjunction with a stiff brush, provides the simplest, most hygienic and effective method of removing stains and food deposits. Carefully compounded of stan-

dardised cOllstituents, it is as harmless to acrylic or other synthetic resin bases as it is to vuIcanite or metal. Moreover, there is no unpleasant residual taste on replacing the denture in the mouth.

Kolynos Denture Powder can be recommended with complete confidence.

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J.

BRIGADE REPORTS-c ontd . f rom p. 180

members to patients in t h eir own homes ; 16 members had joined the C.N R.., whilst 25 h ad enrolled for duty at the F.A.P Classes in fi r st aid and home nursing wer e hel d thr oughout t he year. i ncluding those for the W J.A.C Social activities realised nearly £60 towards a new ambulance , whilst a garden fete and other smaller efforts raised the splendid sum of £800 for the Prisoners of War.

WE S T RID IN G OF Y ORKSHIR E

Huddersfield. - The J ubilee of the Huddersfield Corps was celebrated by a dinner at which President E W. Hirst read congratulatory messages from the Gloucester Corps and the British Red Cross Society. Mr. W. Mabane said that he brought a message from Lady Louis Mountbatten ' in which she congratulated the Corps. He also to the fact that he knew from his experiences at the Ministry of Home Security of the grep.t work which has been done by the Brigade. '\Vhen he was Parliamentary Secretary he had noticed that the eight-pointed star was prominent i n Civil D efence services during the early days of the blitzes. I n the St. John Ambulan ce Brigade they had a fuUytrained · organisation which was of the greatest help. If it had not been for the great help they had given the Civil

BAND GUIDE

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PRACnCAL BOOKS

by N CORBET FLETCHER, M.B., B.C., M.A.(Cantab.) , M.R.C S.

AIDS TO HOME-NURSING

Home-Nursin, Simplified al)d Tabulated wi t h Aids to Momory. Price 1/- (Post 2id.)

COMMON ERRORS IN FIRST-AID

Errors In First-Aid Detailed and Explained. Price 1/3 (Post 2d.)

AMBULANCE COMPETITION TESTS

6 folders Price 6d. each (Post 2d.)

Obtainable from' THE FOUNTAIN PRIESS 46/47, Chancery Lane,London,W.C.l.

190

Defence Services wou l d have b ee n far less effective than they had been

Co l. J. L. Sleeman (Chief Commissioner Brigade Overseas), who refe rred to the absence of Sir Clive. L idde ll owin g to indisposition, spoke of the work o f t he Brigade Overseas, which now h ad a personnel of 83,000.

In proposing the toast 0 f the ,., H u ddersfield Corps/' the Deputy Mayo r (A l d. J. E Lunn) said that they had a splendid body of 500 men and women i n Hudder sfie l d, which was very creditable fo r a town of its size . He mentioned th at a cheque for £50 had been received in memory of Arthur Bradl ey and another for a like amou n t from Mr. Tyas , while Mrs. Whiteley, of Newsome, had sen t £2 4s., the ' proceeds of a whist drive.

Councillor Dr. J. H. Kahn, respo n ding, said that it was necessary that they should have a decent building and for this purpose £500 had been subscribed by firms and individuals. He hoped that the building fund would be a success.

Col. Sleeman also took the inspectio n , which was part of the Jubilee celeb r atio n s.

The outstanding feature of this event was that no less than four members on parade were wearing the Service Medal with five Bars (Corps Supt. G. W. Haigh, Corps Officer W. H. Terry, Supts. Brockless and W. Fisher) and, in addition, nine members were wearing the Service :YIeda l with four Bars.

CLAS SIFIED ADVERTISBMENTS

A dverifsemmts with ,emi.ttanc e should be sent to th_ St. John Ambul&nc, Gasette, 46/47 Chancery L an e, London, W. C. : (to which add, ,,,s ,eplies to B ox n u mbers should b_ f orwa , ded) RaJe 3d. per word, mi n imum 416. Box n umber. 1/- _xt,a.

T R EATMENT AND REMED I ES FOR POISONING. -A handy quick reference chart which shows a t a glance the treatment for 30 different types of poisons Compiled by Div. Supt. A. E. Hawkins. Signs and Symptoms; Immediate Treatment; Emetics; Purgatives; Stimulants; Demulcent Drinks; Artificial Respiration; Later Treatment Price 9d , pos t fr ee lId.-FoUNTAIN PREss, 46-47, Chancery L ane , London, W.C.2.

FIR ST-A ID CO MPETI T IO N AND PRACTICE TESTS. Book containing six team tests, six individual , six oral; price 2s. , postage Id Conipiled b y D ivisional Superintendent.-From ROBINSON, B CM/Firstaid , London, W.C.I.

FOR SAL E.-S.].A.B. Officer's Suit, good condition , 42 chest, 35 waist, 31 inside leg.-Further particuW. J. POULTER, 78, Honey Hill Road ,

FOR SALE.-Tailor-made Coat, Shirt and Greatcoat; bust 34 in., waist 27 in., length greatcoat 46 in ; no coupons. Very good condition. Also Storm Cap size 7.-Apply " GRAYS," Haslemere, Surrey

FIR8T=AID COMPETITIONS are won by good coaching. An y First Aider (either sex) may coaoh any ambitious team- male, female or mixedto early IU_ Competition experience not .uential with n.w Guid•.-For particulars lend ltamped eav.lope to R. ]ltFnRY, 6, Avenue Gardena, LondoD., W.J.

EVERYTHING FOR SAFETY EVERYWHERE 'NOVOX' and' NOVITA' OXYleh + co. or OXYIen RESUSCITATING APPARATUS for th. apparHtly a.phyxlat.d .r dr.wn.d. SMOKE HELMETS .f all htMrna. 'PROTO' anti 'IALVUS' OXYO.N 81UATHINO APPARATUS 'PURETHA' GAS MASKS for Naval, Military and Industrial ,urpOCIe. and for Civilian u.e. ALL A.ft.P•• aUIPM.NT

DUST and SPRAY MASKS anlll all .th.r

Safety and Protective Devlc

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WALL CHARTS

ANATOMICAL DIAGRAMS AND OSTEOLOGY FOR LECTURES BOOKS AMBULANCE FOR WORKERS

H. K. LEWIS '" Co. Ltd. 138 Gower street, London, W.C.1 E.UStGn 4212 (S I1net)

A..,.M. Drums, Bugle. "Iutes and Equipment

Will brin, your Band up to 8enlce 8ta.Dda.rd A. F. M. INSTRUMENTS

Are of the highest quality, and designed for Active Service." They are Economical too, being supplied direct from factory at first cost

If you require an ••tlmatA for .lncl llIoStrumen\ or oom· plete Band, 11'8 can give It I B.p.w. to aU Indrumenw A. F. MATTHEWS (Drums) Ltd 17, AYLESBURY STREET • LONDON, E.C.I PIwru I owu..:..n Ion Direct Contractors-The Admiralty, War Office, Air Ministry. India Office

£''I.

ensures correct design, high grade materialS' selected for smartness and hard wear.

SJ.A. REGULATION COAT

Cut and tailored from fully shrunk and showerproofed material. half lined with grey Italian cloth. Prices Include buttons. An official order for H.Q. to supply us with badges and buttons must be sent with every order. Women's Sizes 99 /6 O.S £S.

STOCK SIZES-Women's :

Bust : 32. 32. 33. 3". 35. 36. 36. 36. 37. 19th. : <46. <46. 45. <46. <48. "7. Bust : 38. 38. 39. 40. 40. 40 19th. : <46. <48. <48. ..... <46. <48 O.S. 42. "2. 42. "2 X.O.S. <46 <46.<48.<48 <48.<48

SJ.A. REGULATION HAT for Officers. Wool Felt. 19/11. Ambulance Sisters. Felt. 16/11. Badges are only obtainable from H.Q. Sizes: 6i. 6t. 6t. 6i. 7. 7t. 71. 7t. Storm Cap 17/11.

REG U LATI 0 N DRESS for Officers and Ambulance Sisters. Made from good quality Sanforized - Shrunk washing material.

BodIce unlined. women's 22/6 O.S. 24/6

Bodice IInlid, women', 27/. O.S. 29/6

REG U LATI 0 N CAPE.-Made In regulation grey cloth. lined with '" wool red nannel. 46/6.

REGULATtoN BLOUSES for Officers and Ambulance Sisters. Made In Ivory Trlcollne 21 /9 (4 coupon,). extra collar 3/3 (I coupon). Sizes 13i. I". 14t Ins. O.S. 22/9. (Civilian coupons must be surrendered for blouses).

To obtain Uniforms for OjJicers and Ambulance Sisters a Coupon Equivalent Permit, obtainable from H.Q., must be sent with you?: order. PERMIT FOR BUTTONS MUST ACCOMPANY ORDERS FOR DRESSES AND COATS

SJ.A. REGULATION APRONS for Ambulance Sisters. Made - from hardwearing IInen-fiJ1lshed apron cloth. Price Includes cross.

Waists 26. 28. 30 Ins. 7/3

Waists 32 and 34 In,. 7/11

WaIsts 37 and 38 Ins. 8/11

REGULATION COSTUME for Officers & Ambulance Sisters. Made In X9 Serge. Stock sizes Wm's Cl 17 6. O.S. l8 126. Madetomeasure.Wm·sl9 IS O. O.S. llO 10 O. Made In fine Ser&e. stock sizes. women'sl6 186. O.S. ClIS O. Made to measure Wm's £810 6.0.S. 19 5 O. Stock sizes-Bust 33. 3". 35. 36. 37. 38. 39. 40 Ins.

Prices of Officers' Uniform s and other items not mentioned in this advertisement sent on request.

Waists 39 and 40 Ins. ..., /6 A" In length, 28. 30. 32 Ins.

REGULATION CAP for ' Ambulance Sisters. 27 by 18 In,. or 28 by 19 Ins. 3/3

Prices are liable to advance without notice.

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